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WorksheetsPre-finals 3A
Total questions: 50
Worksheet time: 42mins
Endocrine disorders alter a patient’s health and self-image.
True
False
Which among the following bodily processes are regulated by the Endocrine system?
Growth and Development of the body
Cellular metabolism
Blood sugar levels
Reproductive Function
All of the above
The 3 major components of the endocrine system are:
Receptors
Neurons
Hormones
Glands
________ are chemical substances secreted by glands in response to stimulation
receptors
neurons
hormones
glands
The "master gland" located on the inferior aspect of the brain is called (a) .
Oxytocin and ADH are produced by the hypothalamus and are stored is released by which part of the pituitary gland?
Posterior lobe
Anterior lobe
Patient Marie has a serum calcium level of 7.2 mg/dl. During the physical examination, nurse Marites expects to assess:
Homan's sign
Goodell's sign
Trousseau’s sign.
Hegar's sign
Nurse Marites is aware that a positive Chvostek’s sign indicates?
Hyponatremia
Hypokalemia
Hypernatremia
Hypocalcemia
Preoperative instructions for the patient scheduled for a subtotal thyroidectomy includes teaching the patient
A. how to support the head with the hands when moving
B. that coughing should due avoided to prevent pressure on the incision
C. that the head and neck will need to remain immobile until the incision heals
D. that any tingling around the lips or in the fingers after surgery is expected andtemporary
When instructing a patient regarding a urine study for free cortisol, it is most important for the nurse to tell the patient to
A. Save the first voided urine in the am.
B. Maintain a high-sodium diet 3 days before collection.
C. Try to avoid stressful situations during the collection period.
D. Complete at least 30 minutes of strenuous exercise before collecting the urine sample.
A patient with Graves’ disease is treated with radioactive iodine (RAI) in the form of sodium iodide 131I. Which of the following statements by the nurse will explain to the patient how the drug works?
A. “The radioactive iodine stabilizes the thyroid hormone levels before a thyroidectomy.”
B. “The radioactive iodine reduces uptake of thyroxine and thereby improves your condition.”
C. “The radioactive iodine lowers the levels of thyroid hormones by slowing your body’s production of them.”
D. “The radioactive iodine destroys thyroid tissue so that thyroid hormones are no longer produced.”
The patient with diabetes mellitus says, “If I could just avoid what you call carbohydrates in my diet, I guess I would be okay.” The nurse should base the response to this comment on the knowledge that diabetes affects the metabolism of which of the following?
A. Carbohydrates only.
B. Fats and carbohydrates only.
C. Protein and carbohydrates only.
D. Proteins, fats, and carbohydrates.
The narrow tissue bridge forming the butterfly shape of the thyroid is called (a) .
A nurse educator is teaching her students about the thyroid hormones being produced by the thyroid glands, which are
the body’s major metabolic hormones. One of the students asked what composes the thyroid hormones, her best response would be? Select all that apply.
Triiodothyronine (T3)
thyroxine (T4),
Calcitonin
How many parathyroid glands are embedded on the corners of the posterior surface of the thyroid?
3
2
6
4
The following are the zones of the adrenal medulla:
Zona reticularis
Zona glomerulosa
Zona fasciculata
None of the above
Steroid hormones include which of the following:
Thyroid hormones and adrenal cortical hormones'
Pancreatic and thyroid hormones'
Sex hormones and adrenal cortical hormones
Sex hormones and adrenal medullary hormones
The glands that are located in the brain are: Except.
Thymus Gland
Pineal Gland
Pituitary
Hypothalamus
The hormone Insulin regulates the metabolism of carbohydrates, fats, and protein by promoting the absorption of glucose from the blood into the liver, fat, and skeletal muscle cells. This peptide hormone is being produced by which cells of the islet of Langerhans?
Alpha
Beta
Delta
Epsilon
(a) is an immune response in which the Thymus gland plays an important role by producing T cells.
The tiny pineal gland lying at
the back of the third ventricle
of the brain produces which hormone?
Progesterone
Relaxin
Estradiol
Melatonin
The following hormones are categorized under Amines;
a. thyroid hormones
b. catecholamines
c. ADH
d. cortisol
a & b
b & c
c & d
a & d
Secretion of which hormones
occurs fairly evenly throughout the day.
a. parathyroid hormone
b. insulin
c. prolactin
d. cortisol
a & b
a & c
b & d
c & d
A class of hormones that are characterized to be poorly soluble in water, binds to plasma protein and is lipid-soluble.
Hydrophilic Hormone
Lipophilic Hormine
Nurse Marites is performing an assessment on Patient Marie for a clinical diagnosis of thyroid disorder. During the interview patient Daniela informed that she has an intolerance to the cold temperature. This manifestation is true to which thyroid disorder?
Hypothyroidism
Hyperthyroidism
Addison Disease
Euthyroid
A complete neurologic evaluation is vital in taking the physical assessment of endocrine function.
True
False
The following are important criteria in the assessment of the ENDOCRINE FUNCTION.
Emotional status
Distribution of body fat
Posture
appropriateness
and neatness of dress and grooming,
All of the above
The nurse is assessing Patient Daniela, an African woman, for color variations. The nurse is aware that in assessing the patient's color for the dark-skinned patient, it is best to examine the:
sclera
palm
nail bed
all of the above
Which cranial nerve is activated in testing for the Chovstek sign?
CN 7
CN 4
CN 8
CN 6
Trousseau’s sign is a classic indicator of hypocalcemia. The low level of calcium in the blood can be a result of which condition?
_____ is the most common diagnostic test method to determine endocrine function by measuring the hormone levels in the blood and urine.
Provocative testing
Indirect testing
Direct Testing
Radiographic studies
Patient Bonia is directed to perform direct testing of her hormone level through the collection of urine specimens. Nurse Coli must inform Patient Bonia that the urine collection will be done in? Select the best answers.
12 hrs
24 hrs
The urine specimen must be kept on ice during the collection.
The urine specimen must be kept on room temperature during the collection.
The following are methods in Direct testing of endocrine function, except?
immunoradiometric assays (IRMAs)
nuclear imaging studies
radioimmunoassay (RIA)
24-hour urine testing
A female patient is about to undergo provocative testing to determine the function of her thyroid gland. In providing client education, her provider must state that provocative testing works in what principle?
Stimulate an underactive gland and suppress an overactive gland, depending on the patient’s suspected disorder.
A hormone level that increase with stimulation confirms primary hypofunction
Stimulate an overactive gland and suppress an underactive gland, depending on the patient’s suspected disorder.
Hormone secretion that continues after suppression confirms hypofunction.
Commonly used drug to treat endocrine disorders include:
thyroid hormone antagonists for hypothyroidism
thyroid hormone for hyperthyroidism
anti-inflammatory corticosteroids
insulin for hypoglycemia
Diabetic meal planning is considered to be the cornerstone of diabetes care because it directly controls the body’s major glucose source.
True
False
To avoid wide blood glucose variations, the nurse must educate the client that he needs to closely regulate his carbohydrate intake only.
True
False
To determine the appropriate medical nutrition therapy for a client, an individualized nutritional assessment is necessary.
True
False
Studies have shown that categorizing foods according to a patient's blood glucose level after ingestion shows that complete restriction is necessary.
True
False
Your patient is newly diagnosed with DM with hyperglycemia and was admitted to the hospital for blood glucose level monitoring and insulin therapy. An important intervention during his stay is to monitor signs of hypoglycemia which includes?
tremors
excessive, abnormal sweating
faintness
all of the above
A nurse must take note and educate her diabetic patient on the signs of ketoacidosis to avoid further complications. These overt manifestations include:
fruity breath odor
Kussmaul’s respirations
dehydration,
all of the above
Home care instructions for patients undergoing iodine radiation therapy comprise:
drink plenty of fluids for 48 hours to speed excretion of 131I
avoid conception for several months after therapy (if the patient is a female of childbearing age)
avoid close contact with young children and pregnant women for 7 days after therapy
all of the above
Vomitus will be highly radioactive for how many hours after 131I administration therapy?
2-4 hrs
6-8 hrs
3-4 hrs
4-6 hrs
Surgical treatment of choice for adrenal hyperfunction and hyperaldosteronism..
adrenalectomy
thyroidectomy
hypophysectomy,
adrenalectosmosis
In instructing the patient with hypernatremia about his diet, the nurse must teach him to keep a:
low-sodium, high-potassium diet
high-sodium, low-potassium diet
low-sodium, low-potassium diet
high-sodium, high-potassium diet
A patient is suffering from adrenal insufficiency and was prescribed to take steroids. In teaching the client the proper medication administration, the nurse needs to advise him to take his steroids with meals or antacids to minimize gastric irritation.
True
False
Hypophysectomy may be performed subfrontally or transsphenoidally. Which among the following best describes the subfrontal approach?
The subfrontal approach carries a high risk of mortality or complications
The subfrontal approach can result in loss of smell and taste and permanent, severe diabetes insipidus.
It is rarely used.
None of the above
The visual field test is an important intervention in preparing the patient prior to hypophysectomy.
True
False
(a) is a rare but serious complication of thyroidectomy characterized by a sudden and dangerous increase of the signs of thyrotoxicosis.
In understanding the difference between the simple and complex feedback loop. Simple feedback occurs when the level of one substance regulates the secretion of hormones while Complex feedback occurs through an axis established between the hypothalamus, pituitary gland, and target organ.
True
False
